Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Cecile Hathaway, MD

Individual provider Internal Medicine Physician · NPI 1497018477

Samantha Cecile Hathaway, MD is an Internal Medicine in Palos Heights, Illinois. Graduated from University of Mississippi School of Medicine in 2012, 14 years ago. Practices with St Clair Professional Services Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
University of Mississippi School of Medicine
Licensed in
MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12632 S Harlem Ave
Palos Heights, IL 60463-1428
Phone: (708) 587-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2012018757 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2012018757 (MO)

Record details

NPI number1497018477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2012
Last updated in NPPESDecember 20, 2021
Certification dateDecember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice St Clair Professional Services Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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